Provider Demographics
NPI:1386863959
Name:TEMKIN, DARRYL OWEN (RPH)
Entity Type:Individual
Prefix:MR
First Name:DARRYL
Middle Name:OWEN
Last Name:TEMKIN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3022 LEXINGTON LN
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-1028
Mailing Address - Country:US
Mailing Address - Phone:847-433-2108
Mailing Address - Fax:847-433-2134
Practice Address - Street 1:1127 CHURCH ST
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-8302
Practice Address - Country:US
Practice Address - Phone:847-559-1306
Practice Address - Fax:847-559-1321
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist